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Table of Contents

Оглавление

Cover

Title Page

Copyright Page

Dedication Page

Preface

Foreword

Acknowledgment

1 What is pain and how do we assess it? References

2 Nociceptive processing Transduction Transmission Perception Modulation References

10  3 What are the major types of pain? References

11  4 How prevalent is pain and what are the common forms? References

12  5 Pain and ethical practice Beneficence Non‐maleficence Autonomy Distributive Justice References

13  6 Advanced skillfulness in clinical practice References

14  7 Cognitive factors that influence pain References

15  8 Approach to the patient with pain Balancing treatment and diagnosis: parallel pathway model Understanding pain and choosing rational pharmacotherapy: mechanism based‐classification Patient‐centered care vs. disease‐centered care Biopsychosocial model References

16  9 The pain‐focused clinical history Emotional impact Sleep Function Biopsychosocial model Openness to treatments – foundations of MI Social history and work–life References

17  10 Assessing pain in those with communication barriers Speech barriers Hearing barriers Language barriers Socioemotional barriers Managing affect and negotiating boundaries with pain patients References

18  11 Examination skills I Observation Affect References

19  12 Examination skills II Inspection Palpation Range of motion Motor testing Sensory testing Reflex testing Provocative testing References

20  13 Integrating knowledge, skills, and compassionate practices References

21  14 Motivational interviewing and shared decision‐making References

22  15 Communication and interprofessional teams caring for patients with pain References

23  16 Planning therapy References

24  17 Basic considerations for pharmacological therapy – balancing mechanisms of drugs and disease References

25  18 Over‐the‐counter analgesia References

26  19 Neuromodulating agents References

27  20 Opioids – the basics and use in perioperative pain care References

28  21 Opioids – the details References

29  22 Opioids – advanced practice – alternative delivery routes References

30  23 Focal treatments for pain in primary practice Anatomy and innervation Selected agents and therapies References

31  24 Interventional treatments and surgery for pain References

32  25 Activating therapies References

33  26 Mind‐based therapies References

34  27 Manual therapies: massage; trigger points, acupressure, chiropractic, stretching, inversion References

35  28 Therapies that utilize descending pain pathways: meditation, vocation, games, music, and others References

36  29 Acute and chronic pain: the basics Reference

37  30 Surgical and procedural pain References

38  31 Musculoskeletal pain Reference

39  32 Orofacial pain Anatomy and innervation Common and relevant conditions

40  33 Neck pain, cervical, and thoracic spine pain Anatomy and innervation References

41  34 Arm and hand pain Anatomy and innervation Common and relevant conditions References

42  35 Low back pain

43  36 Back pain emergencies Common and relevant conditions Reference

44  37 Radiating leg, buttock, and groin pain Anatomy and innervation Common and relevant conditions References

45  38 Knee pain Anatomy and innervation Clinical assessment Basics of treatment References

46  39 Foot and ankle pain Anatomy and physiology Clinical assessment Basics of treatment References

47  40 Headache emergencies References

48  41 Headaches Basic evaluation Tension type headache Migraine headache Occipital neuralgia Secondary headache References

49  42 Headache – chronic pain and the acute flare General features and diagnostic guidance Common and relevant conditions References

50  43 Visceral pain Anatomy and innervation

51  44 Pelvic pain Anatomy and physiology

52  45 Exceptional causes of severe, chronic pain

53  46 Management of pain in those with substance abuse References

54  47 Pain at the end of life, opioid rotation Opioid rotation References

55  48 Opioids for chronic pain: preventing iatrogenic opioid use disorders References

56  49 Tapering opioids in patients with pain References

57  50 Pain in infants, children, and adolescents References

58  51 Pain in older adults Reference

59  52 Tailoring pharmacotherapy in aging, renal, liver, and other metabolic dysfunctions References

60  53 Pain in pregnancy and the puerperium Anatomy Common and prevalent conditions References

61  References

62  Appendix I: Sample exam sheet

63  Appendix II: Sample pain diary worksheet

64  Appendix III: Glossary Sources

65  Appendix IV: Daily stretching guide – essential for pain prevention

66  Appendix V: Patient packet – your power over pain

67  Multiple choice questions

68  Answers

69  Index

70  End User License Agreement

Pain Medicine at a Glance

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